This page contains reference material, forms and documents required to make an application and for a Class A Professional Home Care Agency and for compliance to operate as a licensed Class A Home Care Provider in the State of Minnesota. These forms are intended for use as reference. They can be downloaded and completed
by individuals and organizations seeking
to acquire an initial license.

Related Information

Information Bulletins
See the Information Bulletin web site for bulletins coded "HC" and "All Providers". Scroll down to "Information Bulletins by Year" and then click on the list for each year to find the appropriate bulletins. To receive notification of new Information Bulletins posted, "Subscribe" to the Information Bulletin Index and you will receive notification by email when there is a new Information Bulletin posted.

Class A Survey Forms
These are the forms that are utilized by Minnesota Department of Health Staff when conducting a Class A Home Care Provider survey.